Individual
DR. JOSE CRUZ RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
O6 CALLE 6, URB ALTA VISTA, PONCE, PR 00716
(787) 803-7017
Mailing address
O6 CALLE 16, URB ALTA VISTA, PONCE, PR 00716
(787) 643-6658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12945
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12945
PUERTO RICO LICENCE
PR
Enumeration date
04/18/2006
Last updated
04/17/2014
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